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Alaska rates for HCPCS 15273

Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Facilitymedian $891 · 10th–90th $166–$9,7720%10%10th90th$891Professionalmedian $427 · 10th–90th $182–$9770%5%10%10th90th$427$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $446.68 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $645.65 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,023.29 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $323.59 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $831.76